Individual
NOEMI BALLESTEROS BARROGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
781 BROWNS CHURCH RD, JACKSON, TN 38305-9296
(731) 427-0058
Mailing address
781 BROWNS CHURCH RD, JACKSON, TN 38305-9296
(901) 634-0421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000002179
TN
Other
Enumeration date
04/05/2011
Last updated
06/02/2021
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